Document Detail

Technical advances in resection and graft replacement of thoracic, abdominal, peripheral aneurysms.
MedLine Citation:
PMID:  1173008     Owner:  NLM     Status:  MEDLINE    
Condition we now term aneurysm, deriving from the Greek word for "a sidening," has been recognized since the earliest days of medical history. The predilection of such lesions to rupture, with resultant hemorrhage, thrombosis, and distal ischemia, has led to constant attempts at surgical management, including ligation and incision, wrapping, wiring, plasticizing, packing, obliterative and reconstructive endoaneurysmorrhaphy, and a wide variety of procedures both ingenious and ingenuous. Modern treatment depends on minimal dissection, to obtain proximal and distal control, incision of only the anterior wall, and every attempt to maintain the integrity of the major portion of the involved vessel. A technique of intrasaccular interpolative anastomosis is used, taking deep and generous. The posterior wall of the aneurysm supports the suture lines and splints the graft firmly. Coverage of the graft with the residual sac protects the surrounding organs, minimizing possible complications. The method is applicable to aneurysms of a variety of anatomic sites, even in the presence of dissection, except those aneurysms involving the transverse aortic arch and thoracoabdominal aneurysms involving major visceral branches. Finally, the described techniques lend themselves easily to any sizable peripheral aneurysm and are simpler and safer than other surgical modalities such as total extirpation and bypass procedures.
J Shah-Mirany
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Surgical clinics of North America     Volume:  55     ISSN:  0039-6109     ISO Abbreviation:  Surg. Clin. North Am.     Publication Date:  1975 Feb 
Date Detail:
Created Date:  1975-06-13     Completed Date:  1975-06-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0074243     Medline TA:  Surg Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  57-80     Citation Subset:  IM    
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MeSH Terms
Aneurysm / surgery*
Aneurysm, Infected / surgery
Aorta, Abdominal / abnormalities,  surgery*
Aorta, Thoracic / surgery*
Aortic Aneurysm / surgery*
Aortic Rupture / surgery
Arterial Occlusive Diseases / surgery
Arteriovenous Fistula / surgery
Blood Vessel Prosthesis*
Carotid Arteries / surgery
Iliac Artery / surgery
Intestinal Fistula / surgery
Kidney / abnormalities
Popliteal Artery / surgery
Renal Artery / surgery
Subclavian Artery / surgery
Thrombosis / surgery
Venae Cavae

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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